Drug IndexRuxience (rituximab-pvvr)
Billing
Code: Q5119
Description: Inj ruxience, 10 mg
Unit: 10 MG
Payment: $20.275
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$7,168.00Total Reimbursement:
$2,027.50(ASP: $1,912.74, Margin: $114.76)
.
.# Units to bill:
100Dosage & Frequency
Rheumatoid Arthritis (RA)
• Two 1000mg IV doses separated by 2 weeks, every 6 months
• Two 1000mg IV doses separated by 2 weeks, every 6 months
Billable NDCs
00069-0238-01
Ruxience (PFIZER INC.)
100 MG
00069-0249-01
Ruxience (PFIZER INC.)
500 MG
Prior Authorization
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